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Pole Dance Tokyo クリスマス会 参加申込フォーム
Pole Dance Tokyo Christmas Party
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Email *
お名前 Name *
ふりがな ( Furigana ) *For Japanese name only
会員様ですか?非会員様ですか?
Are you a member or a non-member?
*
会員の場合、非会員のお友達もご一緒ですか?
If you are a member, will you bring your non-member friends?

Clear selection

「ご参加人数を教えてください。(会員 + 非会員)」

例: 会員1名 + 非会員2名の場合、「3名」とご回答ください。

How many people will join? (Members + Non-members)

For example, if it’s 1 member + 2 non-members, please answer “3 people.”


*
当日はショーで踊りますか?
Would you like to perform?
*
A copy of your responses will be emailed to the address you provided.
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